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Home My WebLink About195030 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 364914 Page 1 of 1 ONE CIVIC SQUARE FIREBRIGHT LLC CHECK AMOUNT: $207.64 CARMEL, INDIANA 46032 PO BOX 51015 on .�o iNDIANAPOUS IN 46251 -0015 CHECK NUMBER: 195030 CHECK DATE: 312/2011 DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4238900 27118 1595 207.64 WARM LIGHT BULBS FireSright LLC Invoice P.O. Box 51015 u• a: Indianapolis, Indiana 46251 -0015 E Date Invoice# 12/1712010 1595 Bill To Cannel Police Department Attn: Tim Green 3 Civic Center Carmel, Indiana 46032 P.O. No. Terms Project Due on receipt Quantity Description Rate Amount 6 30.7.01 10.03 PAR 30, 7PCS, Gverlight, Warn, 4051m, 85 -265V 42.47 236.82 .18 Discount 13.00 42:!8 13.00 13.U0 Freight If you have any questions, please call Dave Baer at 317- 513 -9266. Thank you for 0.00 0.00 your business! In the event that Customer has a warranty claim, Firct3right will work with the 0.00 0 -00 manufacturer on behalf of Customer to assist them with the warranty process. FireBright does not provide any additional warranty beyond that which is provided by the manufacturer. Tot al $207.64 ZOO[j OAS 1137N I14f YVA 10:£T OT /LT /ZT C 0 INDIANA RETAIL TAX EXEMPT PAGE ity Of k armel CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35 60000972 3 %nCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REqUISITION NO. VENDOR NO. DESCRIPTION Pecember 20, 2010 light ulbs VENDOR FireBright LLC SHIP City of Carmel Police Department P.O. Box 51015 TO 3 Civic Square Indianapo &is, IN 46251 -0015 Carmel, IN 45032 CONF BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 6 4051m Everlight warm light bulbs 39.47 236.82 less discount 42.18 shipping 13.00 A.fk Send Invoice To: PLEASE INVOICE IN DUPLICATE 207.64 DEPARTMENT ACCOUNT PROJECT/" I PROJECT, AMOUNT 1110 389 other maintenance upp es PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATI F�FICIENT TO PAY FOR THE ABOVE ORDER. C.D.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. L THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Assistant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO- CLERK-TREASURER DOCUMENT CONTROL NO. 2 7 1 1 8 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #MTLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 FireBright LLC IN SUM OF P.O. Box 51015 Indianapolis, IN 46251 -0015 $20 7. 6 4 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members F_�trwnbrre`r I hereby certify that the attached invoice(s), or 27118 1595 42- 389.00 $207.64 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, February 24, 2011 6' Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Hate Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or biil(s)) 12/31/10 1595 payment for light bulbs $207.64 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer